Seafarer Profile
Last updated date : 25/02/2018 03:36 PM Date :
: Nautical
Personal Details
Name
Gender
Date of Birth
Place of Birth Birth State
Birth Country Nationality
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JAYAPRAGASH J
MALE
20/06/1995
MAYILADUTHURAI, TAMIL NADU TAMIL NADU
INDIA INDIAN
17GL5211
193
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City
State
City
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Pin
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Pin
Address
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Address : :
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Address Details
Present Address Permanent Address
SOUTH STREET,MAHARAJAPURAM
POONTHOTTAM POST,MANNILAM-TK
THIRUVARUR
: 609503
TAMIL NADU State :
609503
TAMILNADU
Country :
Telephone No. :
Country :
Telephone No. :
Mobile No. :
Email Id :
INDIA
***********@*****.***
TAMILNADU
Physical Details
Hair Color
Eye Color :
Height (in Cms) :
: Complexion
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Identification : A MARK ON LEFT HAND
167
BLACK
BLACK
FAIR
INDoS No.
Discipline
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Pre Sea Training Detail
Attended From (Date)
Certificate No.
Pre Sea Tar Book No.
Attended To (Date)
Result
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01/07/2017 30/12/2017
R9/12/17
Training Institute
Training Institute (other)
International Maritime Academy (Chennai)
Course Name PRE SEA RATING (GP)
Report generated on : 26/02/2018 2.02 PM Page 1 of 3 Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Elementary First Aid
A-VI/1-3
17/07/2017
R9/12/17
International Maritime Academy (Chennai)
19/07/2017
1 . Course Name Elementary First Aid
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Fire Prevention & Fire Fighting
A-VI/1-2
20/07/2017
R9/12/17
International Maritime Academy (Chennai)
22/07/2017
2 . Course Name Fire Prevention & Fire Fighting
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Augmentation of FPFF (Practical Tanker Fire Fighting) 20/07/2017
R9/12/17
International Maritime Academy (Chennai)
22/07/2017
3 . Course Name Augmentation of FPFF (Practical Tanker Fire Fighting) Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Personal Safety & Social Responsibilities
A-VI/1-4
24/07/2017
R9/12/17
International Maritime Academy (Chennai)
26/07/2017
4 . Course Name Personal Safety & Social Responsibilities Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Personal Survival Techniques
A-VI/1-1
10/08/2017
R9/12/17
International Maritime Academy (Chennai)
16/08/2017
5 . Course Name Personal Survival Techniques
Course Name
Report generated on : 26/02/2018 2.02 PM Page 2 of 3 Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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STSDSD Course
19/08/2017
R9/12/17
International Maritime Academy (Chennai)
21/08/2017
6 . Course Name STSDSD Course
Course Name
Total no of record in Modular Course 6
Authorised Documents
1 . Document Type : CDC
Document Type : CDC
Document Number :
Valid Upto :
Issued Date :
Issued At :
MUM 283120 11/10/2017
10/10/2027 MUMBAI
Total no of record in Authorised Documents : 1
I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at the time of taking oral examination or at an earlier time when asked by the department. DECLARATION TO BE MADE BY CANDIDATE :
Date :
Signature of the candidate
This is an electronically generated document hence it does not require any signature of DGS Officials. Report generated on : 26/02/2018 2.02 PM Page 3 of 3